General Program Eligibility

To be eligible for a CDC-recognized lifestyle change program, you must meet ALL of the following criteria:

• Be 18 years or older

• Be overweight (body mass index above 25, or 23 if you are Asian)

• Have NOT been diagnosed with type 1 or type 2 diabetes

• NOT be pregnant

In addition, you must meet ONE of the following criteria (unless you are enrolling in a program covered by Medicare):

• Have had a recent blood test in the prediabetes range, which includes one of the following tests and results:

  • Hemoglobin A1C: 5.7–6.4% or

  • Fasting plasma glucose: 100–125 mg/dL or

  • Two-hour plasma glucose (after a 75 gm glucose load): 140–199 mg/dL

• Have received a result of high risk for type 2 diabetes on the Prediabetes Risk Test.

• A doctor previously diagnosed you with gestational diabetes.

• If you are enrolling in a program covered by Medicare, you MUST have had a recent blood test in the prediabetes range, which includes one of the following tests and results:

  • Hemoglobin A1C: 5.7–6.4% or

  • Fasting plasma glucose: 100–125 mg/dL or

  • Two-hour plasma glucose (after a 75 gm glucose load): 140–199 mg/dL

Program Cost

The cost of participating in a CDC-recognized lifestyle change program depends on location and the organization offering it. Many employers and insurers offer the program as a covered benefit. Medicare Part B now covers the program at no cost for eligible patients at registered Medicare suppliers.